PROUD TO BE INC NPI 1629840707

NPI Information

NPI: 1629840707
Provider Name: PROUD TO BE, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
11811 SHAKER BLVD STE 123
CLEVELAND, OH
ZIP 44120
Phone: (216) 242-2990
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PROUD TO BE, INC is a mental health (including community mental health center) clinic center in Cleveland, OH. PROUD TO BE, INC NPI is 1629840707. The provider is registered as an organization entity type.

The provider's business location address is:

11811 SHAKER BLVD STE 123
CLEVELAND, OH
ZIP 44120-927
Phone: (216) 242-2990

The provider's authorized official is Lisa Sullivan .
The authorized official title is Credentialing Specialist and has the following contact phone number (440) 453-0754.

The enumeration date for this NPI number is 10/23/2023 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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